Browsing by Author "Abebe, Yonathan (Ass.Prof.)"

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    Readmission of Patients to Surgical Intensive Care Unit, Incidence, Associated Factors and Outcome at Tikur Ambessa Specialized Hospital From September 2023 to February 2024
    (Addis Ababa University, 2024-05) Aman, Osman; Abebe, Yonathan (Ass.Prof.); Shamil,Amria(MD, Ass.Prof.)
    Background:Globally, the survival of critically sick patients has improved significantly as a result of the remarkable strides made in critical care treatment. However, the lack of and high cost of intensive care facilities is a major concern, particularly in developing nations. ICU readmission occurs when a patient deteriorates during the same hospitalization and needs to return to the ICU for treatment. Although studies mostly done in developed countries show the association of ICU readmission with poor prognosis and increased cost, the knowledge of ICU readmission epidemiology, causes and outcome is uncertain in our country. Objective: To determine the incidence, associated factors and outcomes of readmission to surgical ICU at TASH from September 2023 to February 2024. Methodology; Institutional based prospective cross sectional study was conducted from September 1, 2023 – February 29, 2024. Data collected from patient chart will be filled into prepared checklist. Data was checked for completeness and then imported to SPSS version 27 software for analysis. Descriptive analysis was done for continuous variables. Bivariate logistic regression was done for each predictor variable and outcome variable. Multiple logistic regressions were done and a statistical significance p value less than 0.05 were taken as a determinant factor. Results:A total of 155 patients that were transferred from ICU to ward were included in our study, among this 12(6.5%) required readmission. The mechanical ventilator need on admission (AOR= 7.057(CI 1.668-29.850) and oxygen requirement during transfer to ward ( AOR =4.1(CI 1.004- 17.093) were main factors associated with readmission. Only 41.7% of readmitted patients were recovered while 58.3% died. Conclusion:In this study of surgical ICU patients, mechanical ventilation requirement on ICU admission and oxygen requirement during transfer to ward was found to be a major risk for readmission. The readmitted patient had poor outcome with a mortality of 58.3%. Further study is required to identify interventions that may improve outcome.